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新生儿脾血管瘤伴血小板减少症

Splenic hemangioma with thrombocytopenia in a newborn.

作者信息

Sencer S, Coulter-Knoff A, Day D, Foker J, Thompson T, Burke B

出版信息

Pediatrics. 1987 Jun;79(6):960-6.

PMID:3588149
Abstract

The case report of a newborn infant with a splenic hemangioendothelioma with the life-threatening complications of thrombocytopenia, anemia, and disseminated intravascular coagulation is presented together with a review of the literature. Removal of the tumor via splenectomy, despite the known risk of subsequent overwhelming sepsis due to encapsulated organisms in the young child, is the treatment of choice for splenic hemangiomas complicated by thrombocytopenia. The use of enhanced CT with delayed filling is a diagnostic tool in the workup of suspected hemangiomatous lesions.

摘要

本文报告了一例患有脾血管内皮瘤的新生儿病例,该患儿出现了威胁生命的血小板减少、贫血和弥散性血管内凝血等并发症,并对相关文献进行了综述。尽管已知幼儿因包膜菌感染有随后发生暴发性败血症的风险,但通过脾切除术切除肿瘤仍是并发血小板减少的脾血管瘤的首选治疗方法。使用延迟强化CT是疑似血管瘤病变检查中的一种诊断工具。

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